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OIG Launches Audit of Inappropriate General Inpatient Hospice Billing

Hospice News

Longer general inpatient hospice stays and high-cost issues are reasons for the audit, dubbed the “Audit of Selected, High-Risk Medicare Hospice General Inpatient Services,” according to OIG. Through the audit, OIG will determine whether hospice providers that billed for general inpatient care complied with Medicare requirements.

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Home Health Care vs. Home Care: What’s the Difference

Traditions Health

And that’s where home health care, and home care services, come in. While both services make getting the care you need at home easier, there is a difference. Home health care vs. Home care Although they sound similar, home health care and home care require unique skills and levels of support.

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How CON Laws Influence Hospice Quality, Program Integrity

Hospice News

Alivia Care emerged in 2020 when Community Hospice & Palliative Care, now an affiliate, formed a larger company with a wider range of services. Headquartered in Jacksonville, Florida, the nonprofit hospice and palliative care provider has since expanded its geographic reach across the Southeast region to include Georgia.

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Regulatory Focus in Hospice Giving Buyers Pause in M&A Deals

Hospice News

A leading cause of fraud involves hospices billing Medicare for services for which patients were not eligible, according to a 2021 report from Bass, Berry, & Sims. Some hospices have already begun seeing penalties from a rise in UPIC audit activity, including reimbursement suspensions or Medicare claim repayments.

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4 Important Predictions for Home Care in 2020

AlayaCare

As 2019 enters the home stretch and we look forward to the year ahead, it’s an opportune time to prepare for the issues and trends that will impact the home care industry. These themes will continue to be felt as we enter 2020. Here at AlayaCare, we built our Care Plan 2.0 module to fit this new perspective.

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

Susan: I got my start working for a member of Congress doing constituent casework and a lot of the casework was supporting older adults with VA, Social Security, Medicare, immigration casework. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! Alex: And we’re delighted to welcome back Karl Steinberg, he’s a palliative care doc and a geriatrician.

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